Individual
TIANA NICOLE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 N FREEDOM BLVD., PROVO, UT 84601
(801) 373-4760
Mailing address
750 N FREEDOM BLVD., PROVO, UT 84601
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14206050-3503
UT
Other
Enumeration date
11/12/2018
Last updated
03/25/2025
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